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Release Notes:
Data Element
Version 2010A1

Data Element Name: Patient Discharged on Anticoagulation Therapy
Collected For: ,
Definition:Patient was prescribed anticoagulation therapy at time of hospital discharge
Suggested Data Collection Question:Does documentation indicate that the patient was discharged with a prescription for anticoagulation therapy?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

Y     (Yes, the patient was discharged on anticoagulation therapy)

N    (No, the patient was not discharged on anticoagulation therapy or unable to determine from medical record documentation)

NC    (No, documented reason for not prescribing antithrombotic therapy exists)

Notes for Abstraction:Documentation that demonstrates that patient/caregiver was given prescription for anticoagulation therapy at time of hospital discharge.

Reasons for not prescribing anticoagulation therapy must be documented by a physician, nurse practitioner or physician assistant. If reasons are not mentioned in the context of anticoagulation therapy, do not make inferences.

If documentation indicates that patient/caregiver refused prescription for anticoagulation therapy at discharge, choose “NC”.

Suggested Data Sources:
  • Physician orders
  • Pharmacy/medication records
  • Clinical logs
  • Discharge instructions
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Examples of anticoagulation therapy include:
  • Warfarin/Coumadin
  • Heparin/heparinoids
  • Other anticoagulants, e.g., Lepirudin
  • Patients who are discharged only on low doses (5000 units subQ bid) of heparin or equivalent doses for DVT prophylaxis using LMWH

Patient Discharged on Anticoagulation Therapy
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)